DR. Keith R Fuentes, PHARM.D.

NPI #1982218525 in West Peoria, Illinois

Provider Information

NPI Number
1982218525
Entity Type
Individual
Name
DR. Keith R Fuentes, PHARM.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Sep 1, 2020
Last Updated
Sep 1, 2020

Practice Location

Address
221 N WESTERN AVE
ZIP Code
61604-5640
Phone
(309) 673-0665

Specialties & Taxonomy Codes

Specialty
Pharmacist

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